Millersville University Information Technology

Walk-In - Location and hours of the nearest technical support center.

Call (717)871-2371 - Call the Help Desk to speak with a support person.

- use icon below to log in

Faculty/Staff Account Request Form

Please fill out all appropriate information and click the SUBMIT button at the bottom.
Your request will be automatically sent, and processed.

Any questions/problems can be directed to the Help Desk, 871-2371

* = Required

Contact Information (If not Requestor) Date:
Name: Telephone:

Requestor Information First Name:* Last Name:*
Middle Initial:
Job Title:
M-Number: Telephone:
Department:*
Campus Address:

Type of Account/Employee*

Faculty	Grad. Assistant	Temp. Employee
Staff	Student Employee	Generic/Dept. Acct

Computing Platform*

PC (Windows 98/XP/etc)

Apple (Mac OS 8/9/X)

Other/Unknown

Email

Individual Account Alternate Account Name?(optional)

When available, the default format is Firstname.Lastname@millersville.edu.
(eg: Johnathan.Doe@millersville.edu)
Alternate formats are available at individual's request.
(eg: John.Doe@millersville.edu, Jack.Doe@millersville.edu)
When an alternate format is requested, both default and alternate addresses are valid.

Department, Functional, Group

Accounts for entire departments, or other multi-user mailboxes.
(eg: YourOffice@millersville.edu)
Alternate formats are available at individual's request.
(eg: DeptarmentName@millersville.edu)
When an alternate format is requested, both default and alternate addresses are valid.

Requested Account Name:
Alternate Account Name: (if needed)
Primary User:
Other Users Needing Acccess:

Banner / Brio / SAP

Type of Account:	SAP (PASSHE)	Banner	Brio
Banner Modules¹:	Finance²	Student³	Both
SAP Finance Modules:	Finance	DataWarehouse	Both
- Access to Banner Accounts Receivable, Alumni, and Financial Aid must be requested through the appropriate department's Banner Security Administrator - To complete a Banner Finance request, a Banner Finance Security form must be completed and sent to the Accounting Office. (This form can be found in Outlook, at: Public Folders / All Public Folders / Accounting Office / Forms / BCS Security form.doc ) - To complete a Banner Student request, a memo or email must be sent to Rachael Wywadis in the Registrar's Office